Key takeaways
- Gold tier cover is the highest level of private health insurance available.
- The cheapest gold policy on Finder starts at around $44 per week.
- Waiting periods will apply to your gold coverage, it's good to be mindful of this when buying.
What does gold hospital insurance cover?
Gold-tier hospital insurance covers all 38 treatments outlined by the Australian government. This includes treatments like joint replacements, pregnancy, insulin pumps, as well as all services covered by Silver-tier policies. See below for a comprehensive list.
Award winning Gold Hospital Cover: Health Insurance Fund of Australia Limited Gold Top Hospital Excess $750/$1500
HIF has taken the top spot for the Gold tier of hospital insurance, offering an excellent product for anyone after the most comprehensive private health coverage. The not-for-profit has a small market share, but has been making a big impact.
Highly commended
Medibank Private Limited Medibank Gold Protect
Medibank Private Limited's Medibank Gold Protect is Highly Commended in the Gold Hospital Health Insurance category. Offering comprehensive, top-tier protection, this policy brings a strong range of benefits for those who want the highest level of hospital cover.
Medibank Private Limited Medibank Gold Protect
Medibank Private Limited's Medibank Gold Protect is Highly Commended in the Gold Hospital Health Insurance category. Offering comprehensive, top-tier protection, this policy brings a strong range of benefits for those who want the highest level of hospital cover.
Frank Health Insurance Frank Gold Hospital
Frank Health Insurance is also Highly Commended this year in the Gold Hospital Health Insurance category for its Frank Gold Hospital policy. Delivering extensive, high-level cover, it represents a powerful value proposition within the comprehensive Gold tier.
Frank Health Insurance Frank Gold Hospital
Frank Health Insurance is also Highly Commended this year in the Gold Hospital Health Insurance category for its Frank Gold Hospital policy. Delivering extensive, high-level cover, it represents a powerful value proposition within the comprehensive Gold tier.
What are the hospital health insurance tiers?
Each of the different health insurance tiers has to cover a standardised set of treatments. Here's a quick summary of each tier.Gold hospital cover
Gold-tier hospital insurance covers all 38 treatments outlined by the Australian government. This includes treatments like joint replacements, pregnancy and insulin pumps, as well as all services covered by Silver-tier policies.
Silver hospital cover
Silver-tier hospital insurance covers at least 26 treatments outlined by the Australian government. This includes treatments like dental surgery, lung and chest, and podiatric surgery, as well as all services covered by Bronze-tier policies.
Bronze hospital cover
Bronze-tier hospital insurance covers at least 18 treatments outlined by the Australian government. This includes treatments like joint reconstructions, gynaecology, and ear, nose and throat, as well as all services covered by Basic-tier policies.Basic hospital cover
Basic-tier hospital insurance isn't required to fully cover any treatments outlined by the Australian government, but it does need to have restricted cover for rehabilitation, hospital psychiatric services and palliative care. Generally, Basic cover is primarily used to avoid the Medicare Levy Surcharge and Lifetime Health Cover loading.
*Average prices updated April 2026, in line with Finder's database of health insurance policies. Prices are based on a single individual with less than $105,000 income and living in Sydney with a $750 excess.
How much does gold health insurance cost?
The cost of health insurance will vary based on your state, age, income and more. It'll also change based on whether you're buying hospital cover on its own or with an extras policy.
To give you an idea of costs, we've gotten the average monthly cost for gold hospital cover and broken it down per state. These costs are based on a single individual with less than $105,000 income with a $750 excess.
| Average monthly premium | |
|---|---|
| NSW | $307.90 |
| QLD | $324.79 |
| VIC | $333.38 |
| TAS | $294.80 |
| SA | $275.10 |
| NT | $180.49 |
| WA | $261.36 |
These average prices are updated as of April 2026, in line with Finder's database of health insurance policies.
Understanding waiting periods
Waiting periods refer to the time between when you take out a policy and the time when you're able to claim on that policy. This is relevant to those who are taking out a policy for the first time and those who have increased their cover level, say, from silver to gold.
The government sets the maximum waiting periods for all services. They are:
- Pre-existing conditions: 12 months
- Pregnancy and birth: 12 months
- Psychiatric treatments, rehabilitation, palliative care: 2 months
- All other circumstances: 2 months
In some special circumstances, you can access mental health treatment in a hospital without having to serve the waiting period.
For extras policies, insurers can set their own waiting periods.
Pros and cons of gold health insurance
Pros
- Comprehensive cover for treatment in a private hospital.
- Pregnancy and birth is only a mandatory inclusion at the Gold tier, though some Silver Plus policies also cover it.
- Covers rehabilitation, hospital psychiatric services and palliative care.
Cons
- Gold cover is expensive, often costing well in excess of $160 per month.
- If you don't need cover for a service like pregnancy, a gold policy will still charge and cover you for it. Gold cover is often more coverage than people need.
- Doesn't cover outpatient services without additional extras cover.
"I got Medibank Gold Hospital health insurance so I was covered for obstetrics. Providing my healthcare details to the private hospital was really easy and Medibank called me via their concierge service as I was approaching my due date to answer any questions I might have. Best of all, my baby was covered under the same policy from birth, which meant that the unexpected ambulance transfer across the city and specialist tests for him were also covered. Overall, it was a good experience and I plan to stay with Medibank for any subsequent pregnancies. "
Who is gold health insurance best for?
![]()
People starting a family
If you're starting a family and want to have access to a private room during childbirth, you're going to want a gold hospital policy. Benefits only available on gold policies include:
- Pregnancy and birth
- Assisted reproductive services, such as in-vitro fertilisation (IVF)
![]()
Older Australians
Getting older means you're more susceptible to certain conditions – gold coverage includes a range of treatments that are especially useful to older Australians. A few examples that are helpful for seniors include:
- Cataracts
- Joint replacements
![]()
People with complex needs
There are many other treatments only covered under gold-tier health insurance policies which may be essential for some people. Here are a few gold treatments that could apply to you:
- Dialysis for chronic kidney failure
- Weight loss surgery
- Insulin pumps
- Pain management with device
- Sleep studies
FAQs
-
The cheapest gold hospital policies start at around $41 a week. Prices do go up on April 1st every year and every fund prices things differently, so you'll need to compare policies to make sure you get the right policy for you.
-
In Australia, there are 4 different tiers for hospital cover: Basic, bronze, silver and gold. Policies at each tier level are required to cover a standard set of treatments. Each tier covers everything in the lower tiers, plus several more treatments.
-
A gold hospital policy will cover all of the 38 standard hospital treatments set out by the government. This includes treatments like pregnancy and birth, joint replacements, assisted reproductive services, weight loss surgery, insulin pumps and cataracts.
-
All hospital insurance in Australia is required to provide cover for pre-existing conditions. However, there is a 12-month waiting period before you can make a claim for a pre-condition.
Sources
A seasoned journalist with over 10 years of experience in news, politics and finance reporting, Tim has previously held roles at the ABC, SBS and Fairfax Media. Tim’s expert insights have been quoted in The Australian, The Daily Telegraph, The Courier Mail and more. He regularly appears on TV and radio, and has been interviewed on 7 News, Sunrise, SBS News, ABC Local, 3AW and 5AA. Tim is passionate about simplifying complex insurance topics for Australian consumers. He holds a Bachelor of Arts (Politics) from Macquarie University and a Tier 1 General Insurance (General Advice) certification, which meets the requirements of ASIC Regulatory Guide 146 (RG146). If you’re interested in a media interview with Tim, please reach out to our PR team at aupr@finder.com. See full bio
- Personal finance
- Financial comparison
- Health insurance
- General insurance
- Life insurance
Peta Taylor is a publisher at Finder, working across all of insurance. She's been analysing product disclosure statements and publishing articles for over 2 years. Peta is passionate about demystifying complex insurance products to help users make well educated decisions with confidence. Peta is part of Finder's insurance awards team and works alongside editorial and insights experts to bring users the best insurance products every year. See full bio
Get rewarded $$ for switching with Finder Rewards
Find a better deal, save on your bills and get a free gift card. Sign up to be the first to hear about new Finder Rewards.
More guides on Finder
-
Health insurance for sleep apnoea
Think you may have sleep apnoea? Here's what you need to know about public and private healthcare cover.
-
Medical costs comparison
Doing a medical costs comparison could save you a lot of money. Here's how to reduce your out-of-pocket medical expenses.
-
Health insurance for hernia surgery
Think you may need hernia surgery? See what's involved.
-
Health insurance for knee surgery
If you need knee surgery in Australia, see how private and public works and explore your options.
-
Health insurance for hip replacement surgery
Think you may need hip surgery in the future? Compare your options for public and private treatment.
-
Does health insurance cover gender affirmation surgery?
Medicare and private health insurance can work together to bring down the costs of your gender reassignment surgery.
-
Inpatient and outpatient services
Find out if being treated as an inpatient or an outpatient will affect your private health insurance cover.
-
Palliative care in Australia
Palliative care is the practice of easing the pain of a patient with a terminal illness and making them as comfortable as possible before death.
-
What is excess in health insurance?
Find the answers to the most common questions about health cover excesses in this helpful guide.
-
Public vs private healthcare
Learn the pros and cons of private vs public health in this handy guide to the differences between public and private health insurance.
